Joint Injections (simplified) Laurence Rubin, MD, FRCPC

Rheumatology St. Michael’s Hospital Professor of Medicine University of Toronto

Faculty/Presenter Disclosure

• Faculty: Medicine

• Relationships with commercial interests:

Nothing to disclose

Canadian Musculoskeletal Conference 2016

What are the barriers to Joint injection?

• Comfort with techniques

• Concerns re adverse events

• Access to “core” medications and related supplies

• Patient driven concerns

The Essentilas

The Essentilas (2)

Gloves

• I recommend these, but remember they don’t protect from a needle stick!

Anatomy of the Knee Joint

“the simplest approach”—ie no aspiration planned

Knee Joint Injection via the Anterolateral approach

Knee Joint Injection via the Anterolateral approach

Anatomy of the Knee Joint

Aspiration at the Supra patellar Bursa Why? Because that is where the fluid is!!

Shoulder Anatomy

Rotator Cuff (itis)……

Disposal!